Express Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

49252 Issued in CA

Legal business name

EXPRESS MEDICAL SUPPLY

Practice address

639 Marsat CT
Suite B
Chula Vista, CA 91911-4678

Phone

(619) 423-2600

Fax

(619) 423-2681

NPI assigned

May 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eduardo Magloncio Deocampo

Title

Administrator/Managing Partner

Phone

(619) 423-2600

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1003861329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 LINDSAY ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131431",
            "telephone_number": "619-423-2600",
            "fax_number": "619-423-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 MARSAT CT",
            "address_2": "SUITE B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919114678",
            "telephone_number": "619-423-2600",
            "fax_number": "619-423-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "DEOCAMPO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "MAGLONCIO",
        "authorized_official_title_or_position": "ADMINISTRATOR/MANAGING PARTNER",
        "authorized_official_telephone_number": "619-423-2600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "49252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.